Organization · Type 2 NPI

Jackson Boulevard Dental Associates

Dentist · Rapid City, SD

NPI number 1629315932 Active

Practice location

2620 Jackson Blvd, Suite B
Rapid City, SD 57702-1502

Call (605) 348-1712 Map

Fax (605) 716-7529

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XM636 (SD)
Dentist 122300000XD1002 (SD)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1629315932

Jackson Boulevard Dental Associates's National Provider Identifier is 1629315932, issued on Jan 7, 2013. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Rapid City, SD. The record was last updated on Oct 13, 2021.